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1952709693
JAY FREDERICK WAGONER
STATE COLLEGE, PA
NPI
1952709693
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: PA DC010942)
Enumeration Date
2014-12-11
Last Update Date
2017-02-28
Business Address
-- JAY FREDERICK WAGONER D.C.
454 ROLLING RIDGE DR SUITE 4
STATE COLLEGE, PA 16801-7696
Phone number: 814-954-4182
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Mailing Address
-- JAY FREDERICK WAGONER D.C.
454 ROLLING RIDGE DR SUITE 4
STATE COLLEGE, PA 16801-7696
Phone number: 814-954-4182
Copy
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